Summary
Between 1973 and 1981, 101 patients had a Putti-Platt repair for recurrent dislocation of the shoulder; 89 of them were followed up and 43 underwent a clinical examination, 23 being assessed with the Cybex dynamometer. The 46 who did not attend were interviewed by telephone. The mean follow up time was 8±2 years (range 5–14 years). Redislocation occurred in 18 patients (20%), but this was twice as high in patients who were aged under 26 years at the time of operation compared with those who were older (29% versus 13%). The time of recurrence was between 1 and 11 years after operation. A decrease in strength and power of abduction, internal and external rotation, was found in the affected shoulder. Restriction of all measured movements, particularly external rotation, was also found in all patients. Nevertheless most had a high functional score and relatively few symptoms. We conclude that the Putti-Platt procedure has a high recurrence rate in younger patients, and we hesitate to recommend it for young active individuals.
Résumé
De 1973 à 1981, 101 malades ont été opérés selon la technique de Putti-Platt pour luxation récidivante de l'épaule; 89 d'entre eux ont été suivis et 43 ont été examinés cliniquement, 23 étant testé à l'aide d'un dynamomètre Cybex. Les 46 qui ne pouvaient se présenter ont été interrogés par téléphone. Le recul moyen était de 8±2 ans (de 5 à 14 ans). Une nouvelle luxation était survenue chez 18 opérés (20%), mais la fréquence était deux fois plus élevée chez les sujets âgés de moins de 26 ans au moment de l'opération, comparativement aux autres (29% contre 13%). Le délai de récidive variait de 1 à 11 ans après l'intervention. On pouvait noter, du côté opéré, une diminution de la force de l'abduction et des rotations, interne et externe. Chez tous les malades il existait une limitation de tous les mouvements, et notamment de la rotation externe. Néanmoins la plupart d'entre eux avaient une cotation fonctionnelle élevée, et relativement peu de symptômes. Nous en concluons que l'opération de Putti-Platt comporte un risque important de récidive chez les sujets les plus jeunes et nous hésitons à la recommander chez les individus jeunes et actifs.
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References
Bankart ASB (1938) The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg 26: 23–29
Braly WG, Tullos HS (1985) A modification of the Bristow procedure for recurrent anterior shoulder dislocation and subluxation. Am J Sports Med 13: 81–86
Brav EA (1955) An evaluation of the Putti-Platt reconstruction procedure for recurrent dislocation of the shoulder. J Bone Joint Surg [Am] 37: 731–741
Collins KA, Capito C, Cross M (1986) The use of the Putti-Platt procedure in the treatment of recurrent anterior dislocation. Am J Sports Med 14: 380–382
DeWaal Malefijt J, Ooms AJAM, Van Rens TJG (1985) A comparison of the results of the Bristow-Latarjet procedure and the Bankart/Putti-Platt operation for recurrent anterior dislocation of the shoulder. Acta Orthop Belg 51: 831–842
Gerber C, Terrier F, Ganz R (1988) The Trillat procedure for recurrent anterior instability of the shoulder. J Bone Joint Surg [Br] 70: 130–134
Houben L, Hoogmartens M (1984) The Putti-Platt operation for recurrent anterior dislocation of the shoulder. Acta Orthop Belg 50: 481–488
Hovelius L, Thorling J, Fredin H (1979) Recurrent Anterior Dislocation of the Shoulder. J Bone Joint Surg [Am] 61: 566–569
Hovelius L, Körner L, Lundberg B, Akermark C, Herberts P, Wredmark T, Berg E (1983) The coracoid transfer for recurrent dislocation of the shoulder. Technical aspects of the Bristow-Latarjet procedure. J Bone Joint Surg [Am] 65: 926–934
Lysholm J, Odensten M (1987) Results of Magnusson-Stack and Putti-Platt repair for recurrent anterior dislocation of the shoulder. Acta Orthop Scand 58: 45
Miller LS, Donahue JR, Good RP, Staerk AJ (1984) The Magnuson-Stack procedure for treatment of recurrent glenomhumeral dislocations. Am J Sports Med 12: 133–137
Morrey BF, Janes JM (1976) Recurrent anterior Dislocation of the shoulder. J Bone Joint Surgery [Am] 58: 253–255
Osmond-Clarke H (1948) Habitual dislocation of the shoulder. The Putti-Platt operation. J Bone Joint Surg [Br] 30: 19–35
Pritsch M, Engek J, Horoszowski H, Farin I (1983) Recurrent dislocation of the shoulder and the Putti Platt operation. Arch Orthop Traum Surg 101: 133–135
Regan ED, Webster-Bogaert S, Hawkins RJ, Fowler PJ (1989) Comparative functional analysis of the Bristow, Magnuson-Stack, and Putti-Platt procedure for recurrent dislocation of the shoulder. Am J Sports Med 17: 42–48
Rowe CR (1956) Prognosis in dislocations of the shoulder. J Bone Joint Surg [Am] 38: 857–977
Saha AK, Bhadra N, Dutta SK (1986) Latissimus dorsi transfer for recurrent dislocation of the shoulder. Acta Orthop Scand 57: 539–541
Schröder HA, Fristed PB (1985) Recurrent dislocation of the shoulder. The Alvik modification of the Eden-Hübinette operation. Acta Orthop Scand 56: 396–399
Tervo T, Kähärä V, Lemmetty A, Aho H, Rokkanen P (1979) The Putti-Platt operation in the treatment of recurrent anterior dislocation of the glenohumeral joint. Ann Chir Gyn 68: 165–168
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Fredriksson, A.S., Tegner, Y. Results of the Putti-Platt operation for recurrent anterior dislocation of the shoulder. International Orthopaedics 15, 185–188 (1991). https://doi.org/10.1007/BF00192290
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DOI: https://doi.org/10.1007/BF00192290